Pharmacy automation using autonomous robot

ABSTRACT

A pharmacy automation system having a robot having a hardware device and a software for internal mapping to perform simultaneous localization and mapping (SLAM) is disclosed herein. The robot is configured to use the SLAM technique to carry out at least the following different interactions: the robot communicates autonomously with a physician or an assistant directly or via an intermediary; the robot interacts with an inventory of goods and browses the inventory of goods to determine if a prescribed medication is available in the pharmacy; if the prescribed medication is available in the pharmacy, the robot interacts with a medication dispenser, using the internal mapping to fill a container with the prescribed medication, and store the container; when a patient or a proxy arrives to pick up the prescribed medication, the robot checks and approves an identification of the patient or the proxy; and when the patient or proxy presents a prescription containing the prescribed medication, the robot retrieves the container with the prescribed medication and hands the container with the prescribed medication over to the patient or proxy.

RELATED APPLICATIONS

The present application is a continuation application of, and claimspriority from, U.S. patent application Ser. No. 15/589,489, filed May 8,2017, which is a continuation application of U.S. patent applicationSer. No. 14/706,982, filed May 8, 2015, now U.S. Pat. No. 9,643,320,issued May 9, 2017, which is a continuation of U.S. patent applicationSer. No. 13/584,862, filed Aug. 14, 2012, now U.S. Pat. No. 9,043,012,issued May 26, 2015, entitled, “PHARMACY AUTOMATION USING AUTONOMOUSROBOT”, and said U.S. patent application Ser. No. 13/584,862 claims thebenefit of priority to U.S. Provisional Patent Application 61/528,566,filed Aug. 29, 2011. Each of these applications are incorporated hereinby reference in their entireties.

All publications, patents, and patent applications cited in thisspecification are hereby incorporated by reference in their entirety.

FIELD OF THE INVENTION

Embodiments of the present invention generally relate to a method andsystem for providing an improved approach for automating pharmaciesusing robotics and artificial intelligence (AI).

BACKGROUND OF THE INVENTION

A robot is a mechanical or virtual intelligent agent that can performtasks automatically or with guidance, typically by remote control. Anautonomous robot (also referred to as automaton) is a robot that canperform desired tasks in structured or unstructured environments withoutcontinuous human guidance. In today's world, robots may be used in manysectors (or applications) such as the medical sector, the bankingsector, the transportation sector, the military sector, etc. Moreparticularly, robots may be used to automate the pharmaceutical sector.For example, autonomous robots may be configured in such a way as tomake prescription drug distribution more efficient and effective,without requiring any human intervention.

Robots need to be able to create a map using map-making algorithms thataccurately displays their environment, in order to be effective in theirapplication. Maps display what robots see; and therefore, it is vitalthat these maps are as accurate as possible, because they lead to morepractical applications of these types of robots.

Currently available technologies use dead reckoning as a mapping methodin navigation of robots, which calculates the current position of therobot by using a previously determined position. However, this methoddoes not produce accurate maps because of wheel slips or skidding thatwould not allow rotary encoders in the wheels to produce proper results.What is needed is an accurate location service which may be applied toautomating the pharmaceutical and medical sectors, and which overcomesthe limitations exhibited by current methods.

Simultaneous localization and mapping (SLAM) is such a technique. SLAMis a technique used by robots and autonomous vehicles to build up a mapwithin an unknown environment (without a priori knowledge), or to updatea map within a known environment (with a priori knowledge from a givenmap, usually given by laser data), while at the same time keeping trackof their current location. With SLAM, robots can be used extensively tohelp the public in the pharmaceutical sector.

U.S. Pat. No. 6,711,460, which is incorporated herein in its entirety byreference, discloses a pharmaceutical system and method in whichpharmaceutical care is provided via a robot by a remote professionalserving multiple pharmacies.

Every year in the United States, an estimated 30 million pharmacydispensing errors occur according to the information on the websitehttp://www.youhaverights.com/. These types of mistakes result in anestimated 7,000 patient deaths and thousands more serious complicationseach year. Approximately one in every 1,000 prescriptions deliverednationwide has an error, according to the National Patient SafetyFoundation, a nonprofit organization working to improve patient safety.Some pharmacy errors are harmless and result in no injury to thepatient. However, in many cases, mistakes result in the wrong medicationor dosage being given to the patient. Patients have died or sufferedlife-threatening injuries when a pharmacy employee mistook one drug foranother with a similar name, misread a physician's or assistant'shandwriting, or dispensed the incorrect dosage to the patient.

Many pharmacy errors are blamed on overworked pharmacists and pharmacytechnicians who are under pressure as workloads become increasinglydemanding. Being pressed to fill hundreds of prescriptions every daydecreases the amount of time that pharmacists and their techniciansdevote to filling each prescription.

The most common types of pharmacy and dispensing errors include:

-   -   Dispensing the wrong medication    -   Dispensing the incorrect dosage    -   Failure by a pharmacist or pharmacy technician to give consumers        instructions for taking the medication

Another type of pharmacy error involves the incorrect preparation and/ordelivery of intravenous drugs to hospital patients. Intravenoussolutions prepared at pharmacies may contain the wrong drug or incorrectdosage of the proper drug. Also, nurses and other hospital personnel maymake mistakes in entering data into the computerized machines used toadminister the intravenous solutions to patients, resulting in death andserious injuries.

Therefore, there is a need for robotically assisted pharmacies todispense medication to eliminate or substantially minimize human errors.

SUMMARY

An embodiment relates to a pharmacy automation system comprising a robotcomprising a hardware device and a software for internal mapping toperform simultaneous localization and mapping (SLAM), wherein the robotis configured to use the SLAM technique to carry out at least thefollowing different interactions: the robot communicates autonomouslywith a physician (also referred herein as doctor) or an assistantdirectly or via an intermediary; the robot interacts with an inventoryof goods and browses the inventory of goods to determine if a prescribedmedication is available in the pharmacy; if the prescribed medication isavailable in the pharmacy, the robot interacts with a medicationdispenser, using the internal mapping to fill a container with theprescribed medication, and store the container; when a patient or aproxy arrives to pick up the prescribed medication, the robot checks andapproves an identification of the patient or the proxy; and when thepatient or proxy presents a prescription containing the prescribedmedication, the robot retrieves the container with the prescribedmedication and hands the container with the prescribed medication overto the patient or proxy.

Another embodiment relates to a tangible non-transitory computerreadable medium comprising computer executable instructions that, whenexecuted by one or more processors, cause the one or more processors toconduct pharmacy automation, comprising robotically assisting a patientor a proxy using a robot to obtain a prescribed medication from apharmacy, wherein the robot is configured to carry out at least thefollowing different interactions: if the prescribed medication isavailable in the pharmacy, the robot interacts with a medicationdispenser, using internal mapping to fill a container with theprescribed medication, and store the container; when the patient or theproxy arrives to pick up the prescribed medication, the robot checks andapproves an identification of the patient or the proxy; and when thepatient or proxy presents a prescription containing the prescribedmedication, the robot retrieves the container with the prescribedmedication and hands the container with the prescribed medication overto the patient or proxy.

Yet another embodiment relates to a method for conducting pharmaceuticalautomation, comprising assisting one or more customers of one or morepharmacies using one or more autonomous robots for storage and retrievalof prescription medications, which includes prescription drugs,deposited in a medical cache, wherein, during said storage and retrievalof drugs by the robot: (a) each of the plurality of the customersmaintains his or her identity in privacy within a customer database,accessible by the robot, making a prescription medication easier tolocate, for example, based on his or her previous recorded conditionsand/or doctor's prescription; (b) the plurality of the customers areable to retrieve prescription drugs simultaneously, and in differentlocations; and (c) identification of each of the plurality of thecustomers is verified with either one, or a combination of a physician'sor an assistant's prescription note, patient records, biometric data,physical keys, passwords, an identification card and a medical card.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1—General robot interactions.

FIG. 2—Architecture of the pharmacy area.

FIG. 3—Robot's interactions with medical professionals (doctors orassistants including nurses).

FIG. 4—Robot's interactions with customers (patients).

FIG. 5—Retrieval and storage of goods by the robot.

FIG. 6—Robot security architecture and biometric identification.

FIG. 7—Architecture of a delivery system for goods such as medication.

FIG. 8—A scheme for verifying people/mailboxes to where goods will bedelivered.

FIG. 9—Architecture of an entire delivery process system for delivery ofmedication.

DETAILED DESCRIPTION

Maps are used to determine a location within an environment and todepict an environment for planning and navigation; they support theassessment of actual location by recording information obtained from aform of perception and comparing it to a current set of perceptions. Thebenefit of a map in aiding the assessment of a location increases as theprecision and quality of the current perceptions decrease. Mapsgenerally represent the state at the time that the map is drawn; this isnot necessarily consistent with the state of the environment at the timethe map is used.

The complexity of the technical processes of locating and mapping underconditions of errors and noise do not allow for a coherent solution ofboth tasks. Simultaneous localization and mapping (SLAM) is a conceptthat binds these processes in a loop and therefore supports thecontinuity of both aspect in separated processes; iterative feedbackfrom one process to the other enhances the results of both consecutivesteps.

Mapping is the problem of integrating the information gathered by a setof sensors into a consistent model and depicting that information as agiven representation. It can be described by the first characteristicquestion, What does the world look like? Central aspects in mapping arethe representation of the environment and the interpretation of sensordata.

In contrast to this, localization is the problem of estimating the place(and pose) of the robot relative to a map; in other words, the robot hasto answer the second characteristic question, Where am I? Typically,solutions comprise tracking, where the initial place of the robot isknown, and global localization, in which no or just some a prioriknowledge of the environmental characteristics of the starting positionis given.

SLAM is therefore defined as the problem of building a model leading toa new map, or repetitively improving an existing map, while at the sametime localizing the robot within that map. In practice, the answers tothe two characteristic questions cannot be delivered independently ofeach other.

Before a robot can contribute to answering the question of what theenvironment looks like, given a set of observations, it needs to knowe.g.: the robot's own kinematics; which qualities the autonomousacquisition of information has, and; from which sources additionalsupporting observations have been made. It is a complex task to estimatethe robot's current location without a map or without a directionalreference. Here, the location is just the position of the robot or mightinclude, as well, its orientation.

SLAM can be thought of as a chicken or egg problem: An unbiased map isneeded for localization while an accurate pose estimate is needed tobuild that map. This is the starting condition for iterativemathematical solution strategies.

The answering of the two characteristic questions is not asstraightforward as it might sound due to inherent uncertainties indiscerning the robot's relative movement from its various sensors.Generally, due to the budget of noise in a technical environment, SLAMis not served with just compact solutions, but with a bunch of physicalconcepts contributing to results. If at the next iteration of mapbuilding the measured distance and direction traveled has a budget ofinaccuracies, driven by limited inherent precision of sensors andadditional ambient noise, then any features being added to the map wouldcontain corresponding errors. Over time and motion, locating and mappingerrors build cumulatively, grossly distorting the map and therefore therobot's ability to determine (know) its actual location and heading withsufficient accuracy.

Different aspects of SLAM include the following:

-   (1) Mapping, i.e., the process of creating geometrically consistent    maps of the environment.-   (2) Sensing, i.e., using several different types of sensors to    acquire data with statistically independent errors. The sensors    could be optical sensors that may be one-dimensional (single beam)    or 2D- (sweeping) laser rangefinders, 3D Flash LIDAR, 2D or 3D sonar    sensors and one or more 2D cameras. For VSLAM (visual SLAM), the    sensors could be visual (camera) sensors. The sensors could also be    quasi-optical wireless sensors ranging for multi-lateration (RTLS)    or multi-angulation in conjunction with SLAM. A special kind of SLAM    for human pedestrians could use a shoe mounted inertial measurement    unit as the main sensor and relies on the fact that pedestrians are    able to avoid walls. This approach called FootSLAM can be used to    automatically build floor plans of buildings that can then be used    by an indoor positioning system.-   (3) Locating: The results from sensing could be fed to the    algorithms for locating. According to propositions of geometry, any    sensing could include at least one lateration (a navigation    technique based on the measurement of the difference in distance to    two or more stations at known locations that broadcast signals at    known times) and (n+1) determining equations for an n-dimensional    problem. In addition, there could be some additional a priori    knowledge about orienting the results versus absolute or relative    systems of coordinates with rotation and mirroring.-   (4) Modeling: Contribution to mapping may work in 2D modeling and    respective representation or in 3D modeling and 2D projective    representation as well. As a part of the model, the kinematics of    the robot could be included, to improve estimates of sensing under    conditions of inherent and ambient noise. The dynamic model balances    the contributions from various sensors, various partial error models    and finally comprises in a sharp virtual depiction as a map with the    location and heading of the robot as some cloud of probability.    Mapping is the final depicting of such model; the map is either such    depiction or the abstract term for the model.

Embodiments herein, as disclosed in U.S. Pat. No. 6,711,460, which isincorporated herein in its entirety by reference, include an exemplaryembodiment which permits a single pharmacist or other professional whocan deliver prescription drugs, who would be referred to herein as a“pharmacist,” to simultaneously serve several individual pharmacies. Inan exemplary embodiment a pharmacist would generally work at a locationthat is remote from most or all of the individual pharmacies beingserved. In order to accomplish this, the remote pharmacist would be indirect computer connection, over a network, with each of the individualpharmacies being served. Through this network, the pharmacist would beconnected with user service stations, drug vaults, and a customerservice computer located within each individual pharmacy. The connectionwould include CCTV connections to each of these locations within theindividual pharmacies, permitting the pharmacist to observe a robot orother device preparing prescriptions in the drug retrieval vault and inthe drug compounding vault, and to communicate directly with customersand local technicians.

In an exemplary embodiment, the pharmacist's computer is adapted topermit the pharmacist to control the robots in one or more drug vaultsfrom a remote location. The remote pharmacist is in interactivecommunication with the robots in the individual pharmacies as the robotsprepare the items that are to be dispensed to each customer.

In an exemplary embodiment of a pharmacy the remote pharmacist wouldhave access to one or more processing and data storage devicescontaining individual patient histories for the group of pharmacies heor she serves, general information about the drugs which may bedispensed, the rules that apply to the various insurance plans acceptedby each pharmacy, persons registered to prescribe medications, and theitems stocked in each location. These data storage and processingdevices may be in the same physical location as the remote pharmacist,or the pharmacist may be connected to these devices through one or morenetworks. The network used in an exemplary embodiment is separated fromany external network by a pharmacist's computer which includes afirewall, or other means to prevent unauthorized access.

Each of the individual pharmacies served by a remote pharmacist isequipped with an automated drug preparation and compounding area, andmay have one or more self-service customer terminals through which thepatient can access pharmaceutical services. The individual pharmaciesmay also have a traditional customer service area, which is staffed byan individual. A computer in each local pharmacy controls andcoordinates the network within that pharmacy. It includes a firewall orother means to prevent unauthorized access. Each of the individualpharmacies is connected to a remote pharmacist via a computer networksystem.

Customer terminals, if they are part of an embodiment of an individualpharmacy, may be walk-up terminals inside the store or drive-throughterminals on the outside of the pharmacy. Customer terminals include away for the patient to submit a prescription to be filled, tocommunicate with the pharmacist, to pay for the prescription, and totake delivery of the prescription. These functions may all be containedin a single customer terminal or split between two or more customerterminals. Some of the functions of a customer terminal would beperformed using (1) dedicated input devices, such as a card reader, aprescription scanner, or a bar code reader; (2) dedicated outputdevices, such as printers adapted to print drug information sheets andreceipts; and (3) interactive communication devices, such as ClosedCircuit Television (“CCTV”), and intranet or internet connections. Mostcustomer terminals would also include access to a pneumatic deliverysystem, which connects the parts of the local pharmacy so that objectscan be sent between them.

An exemplary embodiment of the drug preparation area would generallyinclude two vaults in which robots prepare the items requested. Anexemplary embodiment of the first vault would include storage cellsaround the walls of the vault. These storage cells would contain themedications or medication components most commonly used in a particularpharmacy, and other items that could be dispensed through the pharmacy.Such an embodiment would also include a preparation area that includesvarious automated counting or measuring devices.

In the exemplary embodiment a relatively simple robot is located withinthe drug retrieval vault. The robot is adapted to perform one or moretasks necessary to prepare simple pharmaceutical orders. The robot isalso adapted to perform one or more tasks necessary to deliver the rawingredients for more complicated pharmaceutical orders to the drugcompounding vault. Finally, the robot is adapted to package and deliverthe prepared pharmaceutical order to the customer. Actions of the robotcould be autonomous by the robot or optionally directed by a pharmacistfrom a remote location.

In addition, an exemplary embodiment of a pharmacy using the system andmethod of this invention includes a drug compounding vault. This vaultis used to prepare medications which cannot be delivered to the patientin the form in which they are stored in the pharmacy. The compoundingperformed may be minor, such as mixing water with a powder just beforethe medication is delivered to the patient. It may also be more complex,such as preparing an individualized medication from several ingredients.

An exemplary embodiment of a drug compounding vault includes the variousdevices that a pharmacist would need to compound drugs. The exemplarydrug compounding vault is in direct connection with the drug preparationvault via a pneumatic delivery tube. An exemplary embodiment may alsoinclude a sophisticated medical robot, equipped with various sensordevices similar to those used in surgical robots.

An exemplary robot in an exemplary drug compounding vault is adapted toperform complex manipulations with raw ingredients, using traditionalcompounding tools, at the direction of a remote pharmacist. The robot isalso adapted to retrieve ingredients sent to it by the robot in the drugretrieval vault and to return the compounded pharmaceutical item to therobot in the drug retrieval vault.

An exemplary embodiment of a pharmacy may also include a traditionalcustomer service desk at which an individual may speak directly with atechnician. In an exemplary embodiment of a system including thisfeature, the technician would gather the information from the patient,and transmit it to a remote pharmacist and/or the robot, using devicesthat may be similar to those available to the customer at a customerterminal. The robot would prepare and deliver the prescriptionmedication to the customer while the remote pharmacist could providecounseling to the customer. The look and feel of the interaction at acustomer service desk would generally be similar to the look and feel ofa traditional pharmacy interaction, with the exception that patientswould receive counseling over the CCTV rather than face-to-face.

In addition, in an exemplary embodiment of a pharmacy using this method,a prescriber or a customer may use the telephone to requestpharmaceutical care. Depending on the laws of the state, the technicianat the service desk would either transmit the prescription in the formof an audio or digital recording to the remote pharmacist or would enterthe information into the pharmacy computer which would then transmit itin facsimile form to the remote pharmacist. The system may also beconfigured to accept direct computer-to-computer transmissions ofprescriptions from individual prescribers.

Robot Interaction Architecture (FIG. 1)

As shown in FIG. 1, the robot could use artificial intelligence (AI) andSLAM to interact with five different things. First, the robot wouldcommunicate autonomously with doctors via an online database. Thisdatabase would contain a detailed list of doctors and patients that areregistered as part of the particular pharmacy. The robot would theninteract with an online inventory of goods, which it can browse todetermine if the doctor's requests can be fulfilled. If the requests canbe completed, the robot would have another interaction, using itsinternal mapping to fill bottles with specific pills, and then store thebottles. Finally, when a customer arrives, he/she would first gethis/her identification approved by the robot. Next, the same customerwould present a prescription note indicating a valid doctor's practiceand the drugs that need to be dispensed. The robot would then retrievethe bottle that matches the specifications and hand them over to thecustomer.

In one embodiment, the patient could have a medical card with a build-inmemory chip and for identifying purposes, the automaton would use themedical card with a built-in memory chip along with some other form ofan IP card. For example, the physician or the assistant could insert themedical card and another personal ID card (e.g. a driver's license orcredit card) with a code, such as a barcode, into a read/write deviceattached to the in-network doctor's computer. The prescription would bedownloaded into the memory chip of the medical card. Also, a featuresuch as a barcode on the personal ID card would also be downloaded intothe memory chip of the medical card, and would be associated with theprescription saved in the memory chip. If a proxy is going to get theprescription filled, then the ID card of the proxy would also beassociated with the prescription. Then, when the patient or the proxygoes to the pharmacy, he/she would give both the personal ID card andthe medical card to the pharmacy automaton, which would then in turnauthenticate the patient or proxy, and the dispense the prescribed drugto the patient or proxy.

To move around inside the pharmacy, after an inbuilt map is created thatidentifies the locations of specific drugs, the robots would have tofind the shortest path to their destination to work most efficiently. Toactually do this, the robot could be using Simultaneous Localization andMapping (SLAM). The Robot Operating System, or ROS (a robot softwaregeared towards Linux systems for open source collaboration of roboticsoftware), contains multiple SLAM, or Simultaneous Localization andMapping, implementations. After doing some experiments, data that waspresented showed that Gmapping, an implementation of SLAM, is far moreaccurate than other mapping algorithms such as Dead Reckoning, a mappingmethod in navigation that calculates current position by using apreviously determined position. With currently available mobile robots,rotary wheel encoders determine the position of the robot. The mainproblem that arises with a two-wheel drive train is that the robot'swheels tend to frequently slip or skid, especially during turning,causing the encoders to return larger values than what they should. Whenencoder data is mapped, it is quite inaccurate, as no measures are takento properly correct the slips and skids that have occurred. Using deadreckoning can lead to disasters in the pharmacy, as robots may pick upincorrect prescriptions by mistake.

On the other hand, SLAM builds a map whilst in an unknown environment,and still keeps track of the current position. SLAM utilizes both rotaryencoders and lasers to create a more accurate map. Rotary encoders areused to keep track of the current location, and laser scans from a lasermeasurement technology device made by SICK are used to correct the mapwhen the wheels slip or skid. The laser measurement technology devicecan be used for a wide range of applications. The device, which detectsboth two-dimensional and multi-dimensional contour data, can processinformation either externally or in the sensor itself. Since theencoders and the laser measurement device are working in unison, theyare configured to create a more accurate map. SLAM was proven to be farmore accurate after experimentation by one of the inventors. For thisreason, it would be used as the primary software for robotic mapping.

In addition to the information downloaded into the memory card abovementioned, the patient's medical information would be uploaded into acloud network. The password to access the information on the cloud wouldalso be downloaded into the memory chip of the medical card. When thepharmacy fills the prescription, and when the pharmacy delivers theprescription to the patient, the automaton would access the cloud, anddouble-check if the information on the cloud matches the information inthe memory chip. The pharmacy would also take a picture of the personwho has come to the pharmacy to get the prescription medicine. Once thepharmacy has authenticated the patient or proxy, and dispenses the drugto the patient or proxy, the pharmacy would upload this information,plus the photograph of the person who came to the pharmacy, on to thecloud. This information, in turn, would be transmitted to the physicianor the assistant from the cloud. The physician or the assistant's officewould thus know if the patient has obtained his/her medication, andwhether the medication was picked up from the pharmacy by the patient orthe proxy.

Unlike today's pharmacies, this automated pharmacy using intelligentmobile robots could give multiple people access to their medicationdispensers with increase privacy and security. The rooms that eachindividual is in could be locked, preventing the chance of a robbery.There could be multiple identity checks done by the robot, and thisprocess could be fast and efficient due to the fact that there aremultiple robots.

Architecture of the Pharmacy Area (FIG. 2)

An embodiment relates to the actual architecture of the pharmacy area.As shown in an exemplary schematic in FIG. 1, customers can enter thepharmacy and choose one of the multiple rooms. Each of these rooms issecure and can be locked from the inside. These smaller rooms are thereso that customers can privately and safely give their keys and biometricinformation to the autonomous robots without others watching. Itprotects customers from being attacked by thieves and allows them toprivately take out their medications. In addition, the vault where thevarious medication dispensers could be contained could be dark withoutany lights and maintained at a temperature, for example, in refrigeratedconditions, to prevent deterioration of the medication during shelflife. Because of this, the robots could be able to move around indarkness and need not rely on the light to move around. Anotheradvantage of having multiple rooms is that multiple people can accesstheir medications and make use of the robots simultaneously. Of course,the number of rooms could vary according to the area given for thepharmacy. While optionally there could be different number of robotsthan the number of customer rooms, in another embodiment there could bethe same number of robots as there are customer rooms. This way,multiple customers can make use of the robots to get their medicationsat the same time. Although it may be expensive to have so many robots,it could make a more efficient pharmacy and end up creating greaterincome. The extensive security checks done by the robots and thecertainty of being given the correct medication could also encouragemore customers to come to this pharmacy over another.

Robot—Doctor Interaction (FIG. 3)

A customer goes to his/her doctor's office, and, after examination, thephysician or the assistant gives the patient a prescription, which isauthenticated by a specific barcode and the physician's or theassistant's signature.

After meeting with and prescribing the patient, the doctor enters theprescription and customer information into his registered practice'sdatabase, which is accessible to the in-network pharmaceuticalautomatons. The information the doctor includes in the database entryare customer name and file, the barcode that authenticates the patient'sprescription, the drug name itself, and the quantity, flavor and natureof the drug prescribed. (“Quantity” corresponds to amount. “Flavor” isan attribute that would become important if and when dealing with, say,children's prescription drugs; cherry, grape, apple, etc. would all beavailable flavors, and each would be identified and representeddifferently via the prescription barcode. Regarding the drug's “nature”,pills as well as liquids would be accessible in the automation pharmacy,and they would be stored in separate compartments in the pharmacyitself, as well as identified separately by the pharmaceutical automatonaccording to their specific barcodes.)

All of the information provided by the doctor could also downloaded onto a medical card with a built-in memory chip, which constitutes theprescription. In addition to the medical card, all the informationprovided by the doctor could be uploaded to the cloud network of thein-network doctor's specific practice.

The in-network automatons are notified immediately of the prescription,as soon as the doctor finishes entering the data.

The robots check the online inventory of drugs for the drug prescribedto find (1) if the drug is in stock, and (2) if the quantity, flavor andnature of the drug requested is available in stock. From this point,there are a few possible circumstances:

-   -   a. If the requested drug is not in stock, or if the drug is in        stock but not of the quantity, flavor and nature requested, the        robot may inform the doctor, and simultaneously send a        drug-creation request to an in-network pharmacy from which to        order the drug.        -   i. When the robot informs the doctor of the absence of the            prescribed drug, the doctor may decide to prescribe the            patient with a different drug (different in quantity,            flavor, nature, or some combination of the three), but which            has similar characteristics to the original drug prescribed.            If this is the case, the automaton would take the            prescription change into account by searching its records            for the newly prescribed drug. However, the request to the            pharmacy for the original drug requested would still be            sent, in case of future requests for that same specific            drug.    -   b. If the requested drug is in stock, the robot uses SLAM to        find the locations of both a pill bottle and the drug itself,        and then fills up the bottle with the prescribed drug. Then, the        automaton attaches a barcode to the bottle that corresponds to        the barcode given to the customer on the doctor's prescription,        and stores the prescription until the customer comes to retrieve        it.

Robot—Customer Interaction (FIG. 4)

Provided the drug is in stock when the customer arrives at theautomation pharmacy, he/she would give the robot the prescription notegiven by the doctor. The robot would confirm that the barcode is from aregistered doctor's office by attempting to access the customer's filewith it. The dent's file would be available to the robot via the cloudnetwork.

There are two possibilities from this point:

-   -   a. If the prescription is invalid, the robot would report the        incident to the in-network pharmacy, to the doctor's office, and        to the local law enforcement, and then send the customer away.    -   b. If the prescription is valid, the robot would proceed with        the transaction by asking for some form of valid identification.

After being give some form of legal personal identification (i.e.,driver's license, biometric ID, etc.), the robot would scan the licenseor other form of identification. If the names on the database and IDcard match, the robot checks to make sure that the photo on theidentification matches the image of the customer. The robot's basis foridentification is the cloud network entry provided by the doctor. Aperson would not be able to trick the robot by simply stealing someone'sprescription, as the barcode on the prescription pulls up a customerfile on the database, which could match the name on the ID card. Inaddition, a person would not be able to trick the robot by stealingsomeone's prescription and ID card, as the customer's photo would betaken by the robot and matched to that of the identification card. Therobot would also have special camera sensors to ensure that a personwould not just hold up a photo of another customer whose drugs have tobe picked up after stealing his/her prescription note and ID card. Inaddition, a barcode can only be used once to pick up medications. Once acustomer gets his/her medications from the pharmacy, the person wouldnot be able to use the prescription again or make copies of the barcodeto try and get more drugs illegally, as the prescription would bedeleted from the database. This prevents the abuse of pharmaceuticaldrugs.

If, however, the customer is too sick, young or disabled, and unable topick up his/her own medications, the doctor can enter on the databasethe name of another person, who would be a proxy and pick up themedication for the ill customer. The doctor would also ensure that theproxy's name is mentioned on the prescription note. In this case, therobot would scan the proxy's identification card after scanning theprescription note's bar code. The name could match what is on thedatabase as well as what is on the prescription note. In addition, theproxy's photo would be taken and compared to the photo given on theidentification card.

From this point, two possibilities arise again:

-   -   a. If the identification of the customer does not match the        records on file or the photo, the robot reports the incident to        the in-network pharmacy, to the doctor's office, and to the        local law enforcement, and then sends the customer away.    -   b. If the identification does match, the robot would proceed        with the transaction.

After confirming validity of both the prescription and the customer, therobot would retrieve the pill bottle it stored earlier, whichprescription has a barcode that matches the barcode on the doctor'snote, and would give the bottle to the patient.

Robot Retrieval and Storage Architecture (FIG. 5)

One possibility is that the drug requested by the doctor is in stock. Inthis case, the retrieval and storage could be as follows. The robot hasan inbuilt SLAM technique map, which locates the different drugdispensers throughout the pharmaceutical storage room, and allows therobot to “see” where the specific prescription drug is located,according to the drug's flavor and nature. The robot finds the shortestdistance to the location of the drug and its dispenser, and then againuses SLAM to move and avoid possible obstacles. Upon arriving at thelocation of the drug and its dispenser, the robot uses an arm toretrieve a pill bottle and place it beneath the drug dispenser; therobot then uses another arm to dispense the requested amount ofprescription drug (pills or liquids) into the bottle placed beneath.When the pill bottle is full, the robot uses one of its arms to retrievea lid and seals the prescription bottle; then, the robot attaches abarcode to the pill bottle, which barcode is identical to the barcode onthe doctor's note being carried by the customer. The robot then usesSLAM to move to an alternate pharmaceutical storage location, where itplaces the bottled prescription drug for storage until it is retrievedby the customer for whom it is prescribed.

When the customer arrives with his/her prescription and successfullycompletes every level of verification and the barcode of the drug hasbeen successfully scanned as well. The robot then retrieves the drug asfollows. The robot finds the shortest distance to the alternatepharmaceutical storage location in which the drug is stored, and thenuses SLAM to maneuver to said location. Then, using built-in memorysystems and barcode scanners, the robot locates the prescribed pillbottle, and then uses its arm to retrieve the pill bottle. The robotreturns to the customer and, using SLAM to maneuver back, gives theprescription drug pill bottle to the customer at a counter, through awindow, or via an ATM.

Alternatively, when a drug requested in not in stock, and the robot hasordered a drug-creation from the nearest in-network pharmacy, and afterthe drug has been ordered, created, and sent to the pharmaceuticalautomation. In this case, the robot scans the drug (a barcode would beattached to the drug package before it is sent to the automaton from thepharmacy), and uses the in-network database to determine the flavor andnature of the drug. The robot uses its inbuilt mapping systems to locatethe different drug dispensers throughout the main drug storage room, andlocates the section of the room with drugs of closest relation to thedrug delivered (by name, by flavor, by nature, by side-effects, etc.).The robot finds the shortest distance to the location determined, anduses SLAM to move there. The robot then uses its arm to fill one of thedrug dispensers with the delivered prescription drug. Finally, the robotreports the availability of the prescription drug to the pharmacy andall its in-network doctors.

In one embodiment, the robot could use Simultaneous Localization andMapping (SLAM). The Robot Operating System, or ROS (a robot softwaregeared towards Linux systems for open source collaboration of roboticsoftware), contains multiple SLAM, or Simultaneous Localization andMapping, implementations. After doing some experiments, data that waspresented showed that Gmapping, an implementation of SLAM, is far moreaccurate than other mapping algorithms such as Dead Reckoning, a mappingmethod in navigation that calculates current position by using apreviously determined position. With mobile robots, the position isdetermined by rotary wheel encoders. The main problem that arises with atwo wheel drive train is that the robot's wheels tend to frequently slipor skid, especially during turning, causing the encoders to returnlarger values than what they should. When encoder data is mapped, it isquite inaccurate, as no measures are taken to properly correct the slipsand skids that have occurred. Using dead reckoning can lead to disastersin the pharmacy, as robots may go to wrong drug dispenser by mistake. Onthe other hand, SLAM builds a map whilst in an unknown environment andkeeps track of the current position. Rotary encoders are used to keeptrack of the current location and laser scans from a laser measurementtechnology device made by SICK are used to correct the map when thewheels slip or skid. The laser measurement technology device can be usedfor a wide range of applications. The device, which detects both 2D andmulti-dimensional contour data, can process information eitherexternally or in the sensor itself. Since the encoders and the lasermeasurement device are working in unison, they are configured to createa more accurate map. SLAM was proven to be far more accurate after ourexperimentation.

Robot Security Architecture (FIG. 6)

The robot security architecture to prevent theft or to avoid dispensingthe wrong medication could include biometric scanning. The biometricscanning that could take place could be similar to that explained inU.S. Pat. No. 7,970,678, which is incorporated herein in its entirety byreference, discloses several biometric financial transaction systems andmethods. For example, consumers (e.g. patients) could access theirmedication from a pharmacy after validation and verification of thecustomer by biometrics as shown in FIG. 6. Similarly, there is at leastone robot that is able to fulfill orders from the consumer. A biometricor a biometric sample is any unique human characteristic of which a scanor image is taken directly from the person. The biometric or biometricsample may be, but is not limited to, any of the following: afingerprint, a retinal image, an iris image, a facial image, and voiceprint.

A robot provides the ability to accept biometric and other data asinput, to identify the consumer from this data, and to either completeitem retrieval. Communication links exist or can be established betweenthe robot and the database. In one embodiment, one could use a proxy toretrieve goods from the pharmacy while the patient could be remote, forexample in a hospital. In this case, there could be doubleauthentication of both the proxy and the patient. A communication linkwith the remote patient can be a permanent connection (e.g., a leasedline), a temporary switched-circuit connection (e.g., a dialup telephonecall), or a virtual connection (e.g., via packet switching). Encryptioncan be employed on all communication links to protect sensitive data, asis standard in the industry.

The robot may or may not be required to contain in memory any data whichis personalized to or unique to the consumer in order for the consumerretrieve or deposit goods. Additionally, it can be used as a biometricinput device using the consumer's voice as a biometric. A wireless orcellular telephone with a built-in finger image scanner or otherbiometric sensor can also be used. This is like the example above, butuses a biometric other than voice, e.g., a finger image. In addition,the consumer can use a wireless personal digital assistant (PDA) such asa smart phone, with a microphone or other biometric sensor. The wirelessPDA can be used to enter and communicate an order to a robot, and amicrophone or other biometric sensor can be used to input a biometric.Other access devices could be apparent to those of ordinary skill in theart.

Every medical card could include an identification (ID) code. This IDcode is unique to a patient. Examples of ID codes include a digitalcertificate that includes the age and sex of the patient, socialsecurity number, etc.

A database can be a single computer that or a large collection ofcomputers that serves a number of different robots. The database acceptsqueries of biometric data and identifies consumers from this data. Onceidentified, the robot retrieves goods from the consumer's medicationdispenser. This information could be recorded.

In another embodiment, a wireless PDA is the access device used. Asdiscussed above, there could be different biometrics. For illustrativepurposes, a voice biometric could be used in this embodiment. Use of thesystem in this embodiment proceeds as follows: (1) A consumer uses theaccess device (wireless PDA) to contact the robot or pharmacy. (2) Therobot receives the ID code from the key. In this embodiment, this couldbe digital certificate identification or a number stored in the device.As described above, a voice biometric is used for illustrative purposesin this embodiment, but other biometric identifiers are possible. If theconsumer cannot be identified after repeated tries, the robot alerts ahuman customer service assistant, or security personnel, who can useother means to identify the consumer. (3) In the event of a successfulidentification, the robot retrieves goods for the consumer.

There are many advantages of having biometric identification. First,because each transaction is authorized using a biometric received fromthe consumer's person, the transaction cannot be repudiated. Second, theembodiments are convenient for the consumer, particularly locatedremotely from the robot, for example an elderly person in a hospital, inthat the robot handles all account information, eliminating the need torecite or otherwise enter credit card or other account numbers into atelephone or PDA. Third, the use of biometrics and encryption providessecurity, eliminating the possibility of fraud via interceptingtransmissions from the telephone or PDA. Fourth, the system supports theuse of multiple consumers to access the vault simultaneously in privacy,providing flexibility for the consumer.

Although the embodiments have been described with respect to aparticular biometric electronic transaction system and method for itsuse, it could be appreciated that various modifications of the systemand method are possible without departing from the invention.

All of the above mentioned ideas based on mapping using SLAM could bereplaced with a similar set-up with a radio, ultrasound, light, laser,infrared, other signals, or vision based localization method.

Robotic Delivery System

Currently, prescription medication is not delivered to the client. Thereare a variety of barriers that prevent a successful delivery system tobe set in place including gathering information for a secure deliverylocation and methods to transport the medications in a secure manner. Anembodiment relates to a method for delivery of a good, comprisinggathering information regarding a time and location for delivery of thegood and mode of pick-up, creating a matrix of all delivery locationsand modes of pick-up for each location, verifying each mode as a safeand secure pick-up mode, and delivering the good. The good could be aprescription medication. An embodiment could relate to an effectivesystem that can be used for delivery of prescription medication.

For example, a multi-step delivery process system could be used. Onestep of the delivery system is gathering information regarding theoptimal time and location for delivery of the client's medication, aswell as the best method to pick-up the drug (called “mode of pick-up”).Another step of the delivery system is creating a matrix of all theclient's delivery locations and modes of pick-up for each location. Eachof these modes has to be verified as a safe and secure pick-up mode. Yetanother step of delivery is the actual physical delivery of themedicine. The medicine is placed in a protective case, especially madefor the delivery process.

The step of the delivery system is gathering basic information. First,an advanced monthly or weekly delivery schedule is made for the client.This delivery schedule can be created manually by the doctor/clientduring the checkup via the same online database used for creating theprescription. On the other hand, the robot can create the scheduleautomatically. If the delivery schedule is created manually, thedoctor/client will write the time (month, day, and time during thatday), prescription information, and the delivery location for each oftheir deliveries themselves. What is especially useful for patients witha chronic illness requiring a constant dosage of prescription drugs isan automatic robotically created schedule. Here, depending on the refillrate of a prescription, the robot will automatically scheduledeliveries. The robot will also automatically enter the “standard” timeand location for each of these deliveries. The “standard” time andlocation for deliveries is a standard location and time that the clientsets and can always change. For example, one can make a weekday night atthe permanent place of residence the “standard” time and location. Theschedule of deliveries will always be emailed 2 weeks in advance to theclient and the medications will only be delivered once the client anddoctor have approved information entered. Of course, there are variousfactors that can be adjusted. Another interesting feature in theinformation gathering stage is that an application on a smart phone orany other tracking device can track the client's location (only if theclient wants to activate this feature). If the client is seen to belocated far from the original delivery location around the time ofdelivery, then the client will be emailed/called about whether he/shewants to change his/her delivery location. The last aspect of theinformation gathering step is finding out what mode(s) of pick-up theclient wants at each of the locations the client has entered into thesystem. The three modes of pick-up are self pick-up, representativepick-up, and mailbox/machine pick-up (FIG. 7).

Using the different modes of pick-up that are entered for each of theclient's specified delivery locations a matrix is created organizing allthis information. The creation of the matrix and the verificationprocess constitute as the second step (FIG. 8). Once a matrix has beencreated, each of the modes of pick-up is verified as authentic. Withoutthis verification, no medication delivery will take place through thatmode. This is essential because the pharmacy has the responsibility todeliver the medications securely to the client. The following willdetail how the verification process will work for each of the modes.When the client adds a mode, the system will make the client sign anagreement contract that states that once the medications have beendelivered to the assigned mode of pick-up, the pharmacy's responsibilityis over. It is then the responsibility of the mode of pick-up to get themedications to the client. A contract will also be signed between themodes of pick-up and the pharmacy stating that the mode of pick-up hasagreed to take the responsibility of delivering the medicine to theclient. The contract will also state that the mode of pick-up will givethe medications only to the client and nobody else. Thus, the modes ofpick-up are legally responsible. All of this applies mostly only to therepresentative mode of pick-up. For the mailbox pick-up, the clientcould get the mailbox authorized as safe and secure. This function couldbe done by an authority or administrative agency designated andauthorized to make such authorization. The client also has to sign acontract stating that they will not share the secure information of themailbox with other people. And for the self-pick, the client simply hasto sign a contract stating that they will not share the medications withothers.

Once the initial information regarding the mode of pick-up isestablished and the contacts are signed, the verification process willbegin. There are multiple methods for the verification process to takeplace. Here both a legal and biometric process could be used. For alegal check, the criminal records of both the client and other parties(those in the representative pick-up) will be checked. This ensures thatthe people handling the medications are trustworthy individuals. Otherlegal security measure may include past medical history of the clientand other parties. Biometric security measures could also be used.Information will be collected about the client and other parties (thosein the representative pick-up). Biometric information will be used tothen verify that at the time of each delivery, the pick-up person is thesame person that was previously verified (it will be used to matchidentity). Some biometric measures include: fingerprint, pupil analysis,DNA testing, among others. Additionally, the pick-up person's heart ratecan be measured to check his/her nervousness. All this information willbe taken to verify a “standard” time and location, before any deliveryactually occurs. Once the mode of pick-up has been verified, the modewill receive a “pick-up medical card” for specific client. This “pick-upmedical card” will contain a barcode that is specific to the client. Forthe mailbox pick-up, this medical card will be taped to the inside ofthe mailbox. Using this method of verification, subsequent deliveriescan be automated by the robot by the use of just the “pick-up medicalcard.”

Once the verification process for all the modes of pick-up areestablished, the actual delivery process can occur. The prescription isassembled by the in-house robot pharmacist. The medication bottle inthen placed into a protective case, which is labeled with the client'sbarcode. If the protective case is tampered with then the medicationswill automatically be destroyed by the addition of antifreeze (ethyleneglycol), for example. If multiple medications are going to the samelocation (for a mass delivery) then the robot will place all themedications going in the same location into one collective box. Anexample of a mass delivery is when multiple medications are all beingdelivered to an old age home, nursing home, rehabilitation center, etc.Either the individual medicine in the protective case or multiplemedications in their respective protective cases within a collective boxare then delivered. The delivery can take place through the mail or atruck. If the pharmacy has its own truck, then a robot can be kept inthe back of the truck managing the medications. Once the medicationshave reached the delivery location, the correct mode of pick-up couldarrive. If the biometric analysis shows a match and verifies that thepick-up mode is correct, then the pick-up mode is asked to show the“pick-up medical card.” For the mailbox, the mailbox is matched andverified is the mailbox can be opened with the given password andspecific key. The medical card will be inside the mailbox. Then thebarcode on the “pick-up medical card” and on the protective case arescanned. If there is a match, then the protective case is opened and themedications are given to the mode of pick-up (FIG. 9).

EXAMPLES

Materials and Hardware

This project used the P3DX robot from AdeptRobots, but other similarrobots could be analyzed the same way. On top of the robot could be somesort of distance sensor, which could be either a lidar or a depth sensorlike the Microsoft Kinect. For this project we used the LMS1XX lidarfrom SICK. An Ubuntu or other Linux based laptop is mounted to therobot, and could be running ROS. A joystick is needed for teleoperationof the robot. The robot should have the tires tested in between trials,to ensure that the pressure doesn't change and cause tire variationsacross tests.

Software

The laptop needs a recent version of ROS. This project used theDiamondback distribution, but can also be done with the Electricdistribution. The laptop could also need either a premade ROS wrapperstack (ROS packages) or a custom-made one. The same applies to the lidarsensor. In this project, the P2OS stack and LMS1xx stacks were used forthe robot and the laser respectively. We used Matlab as a basicvisualization tool for the Dead Reckoning map.

Methods

Mapping evaluation has so far been done by checking the map of a mappingalgorithm against the ground truth map of the area. This project splitsmapping into 5 main areas, each with their own separate procedure anddata values, which are described below.

The 90 Degrees Test: In this test, while the laptop is recording thelaser and odometry data, the robot passes by a 90 degree corner of aroom from approximately 2 ft away from the corner, going towards theright wall, turning and heading towards the left wall. The datacollected during the test is then set to run through Gmapping stack anddisplayed in ROS's visualization stack, RVIZ, and directly withoutpreprocessing to Matlab to make the Dead-Reckoning map. The maps arethen checked for the angle of the corner and the number of corners thatare created.

The 90 Degrees Twice Test: The procedure for this test starts the sameas the previous test, but after the robot finishes its movement, itturns toward right and goes forward, turns left and goes forward again,which leaves the robot extremely close the corner. The data is againsent to Gmapping and RVIZ, and Matlab, and the maps are checked for theangle of the corner and the number of corners that are created by themap.

The Straight Away Test: In this test, the robot drives 430 cm. Therecorded data is then run through Gmapping and RVIZ, and Matlab, and thegenerated map is then checked to see how far robot reported that it hasmoved. The distance can be easily counted through the labeled axis,where in Matlab the units are millimeters and in RVIZ the units are 0.5meters.

The Circle Test: In this test, the robot could move in a predeterminedpath that curves around obstacles, and then returns to the startinglocation. The data is then made into maps, and the map is checked to seehow far the end location is away from the start. There could always besome distance because the robot uses skid-turning, but the distancescould be measured and compared.

The Straight Wall Test: In this test, the robot could start at thebeginning of a long wall. It could then move in a semi random pattern ofleft and right that lead towards the end of the wall, with the robotending against the wall at the very end. The data is then made into amap, and then checked to see how straight the wall is. Since at thebeginning and the end the robot is against the wall, a line drawnbetween the two is where the wall should be, and then the wall visibleis compared against the real wall.

Results

To ensure that all results were accurate, each of the five tests wasdone five times for both SLAM and Dead Reckoning.

The 90 Degree Test: In the 90 Degrees Test, SLAM performed far better,as only one angle was produced on the map, and the average of the anglesfrom the five trials was 91.8°, which has only 2% error, as seen inTable 1. However, Dead Reckoning produced two or three separate angleson the map, although they were only 10 cm away from each other andappear as one when the map is zoomed out. To deal with this problem,both or all three of the angles produced by Dead Reckoning in one trialwere averaged to find a final angle measurement of the trial. Theaverage of those five final measurements showed that Dead Reckoningdisplayed and angle of approximately 98.5°, which has 9.4% error. Thestandard deviation for the SLAM trials was 0.84 degrees, while for theDead Reckoning trials it was 0.97 degrees, showing increased consistencyin the trials done by SLAM on ROS. Table 1 is a data table of the testshowing the angles from both SLAM and Dead Reckoning:

TABLE 1 Data from Dead Reckoning and SLAM of mapping a 90 degree corner.Dead Reckoning SLAM 90 Degree Test Number of Angle Average of Number ofAngle Average of Trial No Angles Measures Angles Angles Measures Angles1.0 3.0 101, 95, 97 97.6 1.0 92.0 92.0 2.0 3.0 94, 105, 99 99.3 1.0 93.093.0 3.0 2.0 98, 99 98.5 1.0 91.0 91.0 4.0 3.0 101, 92, 99 97.3 1.0 91.091.0 5.0 2.0 96, 103 99.5 1.0 92.0 92.0 Average 2.6 98.4 1.0 91.8Standard 0.969 0.836 Deviation

The 90 Degree Twice Test: The next test performed was the 90 DegreesTwice Test. This test was controversial, because 2 or 3 angles werecreated in each trial for both SLAM and Dead Reckoning. So, DeadReckoning created about the same number of angles it did in the 90Degrees Test, and SLAM created many more than the previous test becausethe area was scanned twice. SLAM showed two completely separate walls,while Dead Reckoning showed three angles near each other like the lasttest. However, SLAM was still more accurate in the angle of the wallthan Dead Reckoning; the average of all the angles in SLAM was 93.3°,which has an error of 3.7%, and in Dead Reckoning the average was110.6°, which has an error of 22.8%, as seen in Table 2. Althoughmultiple angles were created in both, Dead Reckoning was not able tomeasure the angle correctly. In Dead Reckoning, the standard deviationwas 2.05 degrees, while in SLAM it was 0.63 degrees, again showing thatresults in SLAM are more precise. Table 2 is a data table of the secondtest from both SLAM and Dead Reckoning:

TABLE 2 Dead Reckoning and SLAM mapping a 90 degree angle. 90 DegreesDead Reckoning SLAM Twice Test Number of Angle Average of Number ofAngle Average of Trial No Angles Measures Angles Angles Measures Angles1.0 3.0 112, 115, 110 112.3 2.0 93, 95 94.0 2.0 2.0 109, 111 110.0 2.094, 93 93.5 3.0 3.0 108, 110, 111 109.6 3.0 94, 91, 92 92.3 4.0 3.0 107,108, 109 108.0 2.0 92, 94 93.0 5.0 2.0 112, 114 113.0 2.0 91, 96 93.5Average 2.6 110.6 2.2 93.3 Standard 2.048 0.630 Deviation

The Straight Away Test: In the five Dead Reckoning trials, when theactual distance was 4.3 meters, the average distance travelled by therobot was 4.58 meters, as seen in Table 3. The distance displayed on theDead Reckoning map was on average 0.28 meters off the true distance.SLAM displayed a far more accurate distance, with an average of 4.18meters. The ROS software was off by an average of 0.12 meters, less thanhalf the inaccuracy presented by Dead Reckoning. The standard deviationof the five Dead Reckoning trials was 0.125 meters, while the deviationfor the SLAM trials was only 0.1 meters. Table 3 is a data table forthis Straight Away Test of the 4.3 meter run. The units on the DeadReckoning map are in millimeters and the ROS map has squares that areeach 0.5 meters squared:

TABLE 3 Dead Reckoning and SLAM mapping while moving 4.3 meters.Straight Away Test Dead Reckoning SLAM Trial No Distance How Far OffDistance How Far Off 1.0 4.4 0.6 4.1 0.2 2.0 4.6 0.3 4.2 0.1 3.0 4.6 0.34.0 0.3 4.0 4.7 0.4 4.4 0.1 5.0 4.6 0.3 4.3 0.0 Average 4.6 0.3 4.2 0.1Standard 0.125 0.100 Deviation

The Circle Test: Circle Test also assessed the rotary encoder problem inthe Dead Reckoning software, as the P3-DX had to go around an obstaclein the center of the room and arrive back in the exact same spot. Theinitial and final locations of the robot should have been the same.However, because of the wheels' skidding on the robot, the DeadReckoning map showed that the robot did not end in the same location.The average of the distances from the start on Dead Reckoning was 1.05meters, while the average for SLAM was 0.58 meters, as seen in Table 4.This was only test where the standard deviation of SLAM, 0.28 meters,was greater than that of Dead Reckoning, being 0.17 meters.

TABLE 4 Dead Reckoning and SLAM mapping while traveling in a circle. Thecircle was then checked to see how far the robot was off in its endingpoint. Circle Test Dead Reckoning SLAM Trial No Distance From StartDistance From Start 1.0 0.9 0.6 2.0 1.1 0.5 3.0 1.2 0.2 4.0 0.9 1.0 5.01.2 0.6 Average 1.1 0.6 Standard Deviation 0.166 0.284

The Straight Wall Test: The final test, the Straight Wall Test, was doneto see whether or not Dead Reckoning and SLAM could accurately locate awall even if the P3-DX was swaying wildly left and right. In this test,SLAM displayed a much more accurate map, as it only showed one wall,while Dead Reckoning showed a map that did not present a definitelocation of the wall. To evaluate this test, a line was placed where thewall actually should have been on the map, and the various distancesfrom the line were measured at set intervals. For each trial, theaverage of these distances was taken, as seen in Table 5. The average ofall trials for Dead Reckoning was 1.07 meters, which is large incomparison to the 0.19 meters for SLAM. Dead Reckoning was also muchless precise, because the standard deviation of its trials was 0.31meters, in comparison to SLAM's 0.04 meters. Table 5 is a data table forthe test:

TABLE 5 Dead Reckoning and SLAM mapping a straight wall. Straight WallTest Dead Reckoning SLAM Average Distance From Average Distance FromTrial No Wall Wall 1 1.26 0.17 2 1.13 0.21 3 0.96 0.14 4 0.60 0.19 51.40 0.23 Average 1.07 0.19 Standard Deviation 0.308 0.036Discussion

90 Degree Test: The Dead Reckoning map had either two or three anglesthat formed corners, but their separation was minuscule and only visibleif the corner was focused on. Of all the trials, the average was 98.4°with a standard deviation of 0.969 degrees. For the SLAM map, there wasonly one corner, and the average of all of its trials gets an average of91.8° with a standard deviation of 0.836 degrees. Since the DeadReckoning map had multiple walls, it can be concluded that the robot hadslipped twice, causing the two extra, but very close and similar, walls.The SLAM method, with its slipping correction, does not run into thesame problem with the multiple walls. SLAM also fixes the skidding whichhappens during the turning, making the angles more accurate, which inthis test was 466% more accurate from the formula 100*(Ø−Ødr)/(Ø−Ør),where Ø is 90°, Ødr is the angle from Dead Reckoning, and Ør is theangle from SLAM. Since the standard deviation for both methods aresmall, it shows that the values are consistent, which in the case ofDead Reckoning means consistently off, and in the case of SLAM meanconsistently accurate.

90 Degree Twice Test: In this test, just like the prior one, the DeadReckoning map had either two or three walls, all very close and similarin angle. But with this test the SLAM also has multiple walls, exceptthat the walls are entirely separate, with a large distance betweenthem. This happened because of the way that SLAM works; SLAM tries tomatch points from what it saw in the past to the current scans to try tofix the odometry skids and slips. This encounters problems when therobot is in a rapidly changing environment, such as a dynamicenvironment, or one which the robot is really close to a wall, where allsmall turns seem extreme. The program then sometimes mismatches what therobot thinks is the same point, and then moves its location to matchwhere it would be if the points actually did match. This causes thecompletely different walls when the laser data gets mapped from the newlocation. Even so, the average of all of the corners for SLAM is stillclose to 90 with an average of 93.26 with a standard deviation of 0.6304degrees. Dead Reckoning also got a worse than the previous test withmore turns that the robot skids on, with an average of 101.6 with astandard deviation of 2.048 degrees. Using the formula from the lasttest, we get that SLAM is 355% better in its angle, but because ofhaving separate walls unlike Dead Reckoning, which has very close wallstogether, it is not as accurate of a map. Since the standard deviationsfor the data sets are small, it shows that the data is consistent.

The Straight Away Test: In this test, the distance travelled is measuredand then compared relative to what it should be, 4.3 meters. The reasonthis test would reveal different results from Dead Reckoning to SLAM isthat with Dead Reckoning, when the wheels slip, the robot thinks that ithas moved forward while it had not actually moved during that time. WithSLAM, it should report something in the distance with the distancesensor, and adjust its location based on matching those objects to whereit saw them in the past, making slip less effective in changing how farthe robot thinks it has gone. For Dead Reckoning, it has an average of0.28 meters more than 4.3 meters with a standard deviation of 0.125meters, and with SLAM, it has an average of 0.118 meters less than 4.3meters with a standard deviation of 0.1001 meters. The SLAM algorithm is237% better than Dead Reckoning, but both are really accurate numbers.For both Dead Reckoning and SLAM have the standard deviation relativelyhigh, meaning that even though they are both relatively good numbers, itis not consistent.

The Circle Test: When the robot tries to turn, since it has two wheels,it skids to turn. This test tries to see if the robot, while it isskidding in the same direction on a circular path, can keep its odometryaccurate. With Dead Reckoning, the average distance away from the startlocation is 1.05 meters with a standard deviation of 0.168 meters whileSLAM has an average of 0.58 meters and a standard deviation of 0.286meters. Since the standard deviation for Dead Reckoning is small, itshows that it is consistently off, while SLAM has a relatively highstandard deviation, meaning that although it can be really accurate, itis not precise all the time. This shows that SLAM is 180% better atkeeping the skidding moderated and ending up in the same place as itstarted on the map. Since this test has the robot skidding the entiretime, and all of the skidding occurs during a clockwise turn, all of theerrors are being accumulated the fastest out of all the tests. SLAM'sability to use laser scans to correct its position is more apparent inthis test.

The Straight Wall Test: This test sees how well the robot keeps itsodometry together as it skids in opposite directions. For SLAM, only onedistinct wall is produced on the map. On the Dead Reckoning map, thereare many walls visualized, but for the sake of analyzing, we could bejust looking at the actual wall and the wall farthest from the actualwall. By comparing the farthest wall to the actual wall (which can bedone by placing a line between the end and beginning of the robot'spath, where it was against the wall), we get the accuracy of thegenerated wall. This test had the skidding in opposite directions. Inthe case of Dead Reckoning, it does not show one inaccurate map, butmultiple walls placed atop each other. SLAM manages to keep the robot'sposition accurate, preventing multiple walls from being displayed. Foreach map, an average of the distance between the displayed wall and theactual wall was recorded, and overall, the average of those averages forthe Dead Reckoning map are 1.07 meters away from the wall with astandard deviation of 0.308 meters, while SLAM has an average of 0.187meters away with a standard deviation of 0.035 meters. Since thestandard deviation for both of these figures are small, it shows thatthese values are consistently away for the Dead Reckoning andconsistently good for SLAM. This shows that SLAM is 572% better atkeeping the wall where it should be when it is put into a constantskidding environment.

This work is unique from other published findings because unlike othermap evaluation methods, this project compares each part of mappingindependently, while other methods compare the map in whole. Our resultswere also unique in that they quantitatively proved a fatal flaw inSLAM, allowing for more improvement of the SLAM algorithm byunderstanding which portions of the algorithm needs improvement, and inturn, allows programmers to be more direct in fixing problems that showup.

This project also allows for less strict testing environments, whereasbefore, a carefully and tediously measured map of the room being testedin has to be made. On the contrary, we have now created a standardtesting environment for map-making algorithms, which can easily bereconstructed. In almost any environment, one can slightly change theirperimeters to match the standard testing area and complete all fivetests, and evaluated their own algorithms.

After conducting this project, one can see that SimultaneousLocalization and Mapping, or SLAM, is a more effective method of mappingthan Dead Reckoning. Using laser scans to correct wheel encoder datawhen wheels slip and skid is an efficient way to make a more accuratemap. In four out of the five tests conducted to evaluate map accuracy,SLAM performed better and displayed a better map 4 out of the 5 times.The reason SLAM did not accurately display the 90 Degrees Twice Test isbecause in a rapidly changing environment, SLAM's laser data incorrectlyfixes the encoder data, creating two different images of one object.This is the one major error in SLAM, which could be assessed in a futureproject. These results support the hypothesis because they do prove thatSLAM is a better method of mapping than Dead Reckoning. With ROS andSLAM technology, pharmacy automation could be made easier and morehelpful to humans.

What is claimed is:
 1. A pharmacy automation system comprising a robot,the robot being configured to: automatically create a schedule fordelivery of a prescribed medication at regular intervals to a patientwith a chronic illness, the schedule being based on the refill rate ofthe prescribed medication prescribed for the patient; communicate theschedule electronically to the patient in advance of the time at whichthe delivery is to be made; receive approval of the schedule from thepatient and patient's doctor; determine the mode of pick-up from thescheduled; and deliver the prescribed medication; wherein the mode ofpick-up is self-pick or proxy pick-up, wherein the robot is furtherconfigured to: interact with an inventory of goods to determine if theprescribed medication is available in the pharmacy; if the prescribedmedication is available in the pharmacy: use an internal mapping of atleast a portion of the pharmacy to interact with a medication dispenserto fill a container with the prescribed medication, and store thecontainer; when the patient or the proxy arrives to pick up theprescribed medication, to check and approve an identification of thepatient or the proxy; and retrieve the container with the prescribedmedication and hand the container with the prescribed medication over tothe patient or proxy.
 2. The pharmacy automation system of claim 1,wherein the mode of pick-up is mailbox/machine pick-up.
 3. The pharmacyautomation system of claim 1, wherein if the prescribed medication isnot available in the pharmacy, the robot is configured to order a drugcreation from the nearest in-network pharmacy.
 4. The pharmacyautomation system of claim 3, wherein the robot comprises a hardwaredevice and a software to perform the internal mapping, wherein theinternal mapping is a simultaneous localization and mapping (SLAM). 5.The pharmacy automation system of claim 4, wherein the hardware devicecomprises a rotary encoder and a laser.
 6. The pharmacy automationsystem of claim 4, wherein the robot determines the prescribedmedication from a prescription containing the prescribed medication. 7.The pharmacy automation system of claim 6, wherein the prescription isin the form of a prescription note or a medical card comprising abuilt-in memory chip containing at least information regarding theprescribed medication.
 8. The pharmacy automation system of claim 6,wherein the robot is further configured to upload an information of thepatient and/ or the proxy to the doctor directly or the intermediary,the intermediary comprising an online database containing a list ofdoctors or a cloud network.
 9. The pharmacy automation system of claim4, wherein the software comprises a robot operating system.
 10. Thepharmacy automation system of claim 1, wherein the identification is inthe form of biometric date and/or a photograph.